Nationality Limited Airticket Reservation Form

*On passenger's name, please type as the alphabet that described in the passport.
*Please be sure to check on your own,wheher remaining period of passport remains more than six months or not.
*Please fill in the Supplemental-text-box the date of birth the direction of under 12-year-old passenger.
*If you wish stopover(stay at the transit point), please fill in the itinerary at supplemental-text-box.
#If you sent by FAX,Please print out and send to 0567-56-6072.
#If you have any questions,Please contact TEL:0567-56-7122.

Please select Airticket Type

E-mail(required)
Destination City
Departure Airport
From Japan		 Nagoya/Centrair Tokyo/Haneda Tokyo/Narita Osaka/Kansai
Airline Cathay pacific airline Thai airways Pakistan airline
China eastern airline Air china
Airticket Type One way Two way(Return changeable) Two way(Return not changeable)
Going Date MONTH DAY
Return Date MONTH DAY

Please fill in customer's information

Passenger Number
 Person
Passenger's Name
#as the passport name		 Family Name Given Name distinction by sex Age
Family Name Given Name distinction by sex Age
Family Name Given Name distinction by sex Age
Family Name Given Name distinction by sex Age
Representative
Address Postal code
Telephon Company Home Mobil
FAX Number
Sending method of
booking confirmation		 By E-mail By FAX
Sending method of
E-ticket		 Send by E-mail
Send to address by post
Send by FAX
Supplemental-Text-Box

#Tourism Agency registration number No:1895
22Takenogo,Tobishima,Ama-gun,Aichi,490-1436
TEL:0567-56-7122　FAX:0567-56-6072